Extensive and meticulously crafted set of two hundred original
NCLEX-RN style practice questions with comprehensive
answer rationales covering all core domains including safe
effective care environment, health promotion, psychosocial
integrity, and physiological integrity for Kaplan RN Readiness
Assessment exam preparation.
Safe and Effective Care Environment
(Questions 1-20)
Management of Care
1. A nurse is delegating tasks to an unlicensed
assistive personnel (UAP). Which task is
appropriate to delegate?
• A. Administering oral medications
• B. Performing a sterile wound dressing
change
, • C. Assisting a patient with ambulation using
a gait belt
• D. Assessing a patient's lung sounds
☑VERIFIED ANSWER: C. Assisting a patient
with ambulation using a gait belt
Rationale: Delegation requires matching the
task to the scope of practice of the delegatee.
UAPs can assist with activities of daily living
(ADLs), including ambulation with a gait belt,
after proper training. Administering
medications (A) and sterile wound care (B)
require licensed nursing judgment. Assessment
(D) is a nursing responsibility that cannot be
delegated.
,2. A charge nurse is making shift assignments.
Which patient should be assigned to the most
experienced RN?
• A. A patient with diabetes mellitus requiring
insulin administration
• B. A patient 2 days post-operative
cholecystectomy with stable vital signs
• C. A patient with a chest tube and
continuous bubbling in the water seal
chamber
• D. A patient requiring a urinary catheter
insertion
☑VERIFIED ANSWER: C. A patient with a chest
tube and continuous bubbling in the water
seal chamber
Rationale: Continuous bubbling in the water
seal chamber indicates an air leak, which
, requires immediate assessment and
intervention by an experienced nurse. The
other options involve stable patients or routine
procedures that can be safely managed by less
experienced staff.
3. A nurse is caring for a patient who refuses a
prescribed blood transfusion. What is the
nurse's priority action?
• A. Administer the transfusion because it is
medically necessary
• B. Notify the provider and document the
patient's refusal
• C. Ask the family to convince the patient to
accept the transfusion
• D. Delay the transfusion until the patient
changes their mind
NCLEX-RN style practice questions with comprehensive
answer rationales covering all core domains including safe
effective care environment, health promotion, psychosocial
integrity, and physiological integrity for Kaplan RN Readiness
Assessment exam preparation.
Safe and Effective Care Environment
(Questions 1-20)
Management of Care
1. A nurse is delegating tasks to an unlicensed
assistive personnel (UAP). Which task is
appropriate to delegate?
• A. Administering oral medications
• B. Performing a sterile wound dressing
change
, • C. Assisting a patient with ambulation using
a gait belt
• D. Assessing a patient's lung sounds
☑VERIFIED ANSWER: C. Assisting a patient
with ambulation using a gait belt
Rationale: Delegation requires matching the
task to the scope of practice of the delegatee.
UAPs can assist with activities of daily living
(ADLs), including ambulation with a gait belt,
after proper training. Administering
medications (A) and sterile wound care (B)
require licensed nursing judgment. Assessment
(D) is a nursing responsibility that cannot be
delegated.
,2. A charge nurse is making shift assignments.
Which patient should be assigned to the most
experienced RN?
• A. A patient with diabetes mellitus requiring
insulin administration
• B. A patient 2 days post-operative
cholecystectomy with stable vital signs
• C. A patient with a chest tube and
continuous bubbling in the water seal
chamber
• D. A patient requiring a urinary catheter
insertion
☑VERIFIED ANSWER: C. A patient with a chest
tube and continuous bubbling in the water
seal chamber
Rationale: Continuous bubbling in the water
seal chamber indicates an air leak, which
, requires immediate assessment and
intervention by an experienced nurse. The
other options involve stable patients or routine
procedures that can be safely managed by less
experienced staff.
3. A nurse is caring for a patient who refuses a
prescribed blood transfusion. What is the
nurse's priority action?
• A. Administer the transfusion because it is
medically necessary
• B. Notify the provider and document the
patient's refusal
• C. Ask the family to convince the patient to
accept the transfusion
• D. Delay the transfusion until the patient
changes their mind
